DR. DOUGLAS DAMIEN BRADLEY M.D. - NPI 1740280148 - Orthopaedic Surgery in Union, NJ

Q: What is Douglas Bradley's NPI number?

The NPI number for Douglas Bradley is 1740280148. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Douglas Bradley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Bradley was last updated on August 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Douglas Damien Bradley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS DAMIEN BRADLEY M.D. (NPI 1740280148) is an individual orthopaedic surgery of the spine provider in Union, New Jersey, licensed in New Jersey (MANJ049904) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740280148

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. DOUGLAS DAMIEN BRADLEYCredential: M.D.

Location Address700 RAHWAY AVEUnion, NJ 07083-6634

Mailing Address700 Rahway AveUnion, NJ 07083-6634 · (908) 688-1999 · Fax (908) 688-8180

Phone(908) 688-1999

Fax(908) 688-8180

Sole ProprietorNo

Enumeration DateJuly 28, 2005

Last NPPES UpdateAugust 1, 2016

✔ NPI 1740280148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in NJ · MANJ049904

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

700 RAHWAY AVE, Union, NJ 07083

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Other Identifiers 4

Other223537990NJ · Tax Id #

Medicaid0459801NJ

Medicare UPIND19436NJ

Medicare ID-Type Unspecified514170QH2NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Damien Bradley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTINE MARIEALICE LOUIS MD

Surgery